Goedeke, Judith Patricia
Goedeke, Judith Patricia is an individual health care provider with primary practice located at 10544 Patuxent Ridge Way , Laurel MD 20723. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Goedeke, Judith Patricia can be contacted via phone (301) 776-3158.Contact Information
Primary practice address
10544 Patuxent Ridge Way
Laurel MD 20723
Phone: (301) 776-3158
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X | U00813 | Maryland |
Profile Details
| NPI number | 1225152648 |
|---|---|
| LBN Legal business name | Goedeke, Judith Patricia |
| Credentials | MAC LAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 19th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225152648 | NPPES |
| Other | BL93JP | MD BCBS |
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